Date of Award


Document Type



College of Nursing

Degree Name

Doctor of Nursing Practice (DNP)

Project Mentor

Bonnie Bowie


Carol Shade


Purpose: The purpose of this study is to describe nursing use, quality, and satisfaction with the electronic medical record before and during the course of the electronic medical record transition. In addition, this study examines the differences between nurse age, role, and area of work as these demographics relate to nursing use, quality, and satisfaction.

Background: Nurses spend a large part of their shift using technology, including the electronic medical record, however the use, quality, and satisfaction of this tool as it relates to the nursing profession has not been formally evaluated.

Methods: The design of this study is an analytic observational cohort study. Data was collected via survey responses from the nursing staff at Seattle Children’s Hospital pre and post a series of nursing led electronic medical record design sessions.

Results: Nursing care coordinators reported the highest satisfaction (3.9 ± 0.9). Acute care RNs reported the highest satisfied clinical area (3.8 ± 0.9), and the highest satisfied age range was 60+ (3.6 ± 0.9). Finally, the highest satisfied tenure range occurred between 6-10 years (3.7 ± 1.0).

Conclusion: There are differences between nursing satisfaction with the electronic medical record based on demographic variables. In addition, formatively evaluating nursing satisfaction with the electronic medical record represents a useful exercise that could benefit both individual organizations as well as the field of nursing informatics.

Included in

Nursing Commons